摘要
目的 探讨腔静脉成形术在背驮式原位肝移植中的应用价值及在防止移植肝流出道阻塞并发症中的作用。方法 3例终末期肝病病人选为肝移植受者。供肝的下腔静脉及受体的肝后下腔静脉 (包括肝静脉 )均作了成形术 ,在单独股 -腋静脉转流术下行改良背驮式肝移植术。结果 3例病人术中均较平稳 ,手术时间和无肝期缩短 ,出血量减少 ,术后肝功能恢复快 ,恢复顺利 ,无并发症发生。结论 腔静脉成形术可防止背驮式肝移植肝静脉流出道阻塞 ,术中对受体的血流动力学干扰小 ,并可缩短无肝期和减少腔静脉梗阻并发症的发生。
Objective To investigate the impact of venacavaplasty on the piggyback liver transplantation and on the prevention of hepatic outflow block.Methods Three patients with the end-stage hepatic diseases were selected as recipients,who received a modified piggyback liver transplantation with venacavaplasty under single veno-venous bypass.Results All the recipients had stability of hemodynamic circulation,with anhepatic phase and hemorrhage decreased during the period of cava occlusion.All the patients recovered quickly with good liver function, without any complications postoperatively.Conclusion Venacavaplasty may overcome hepatic outflow block in piggyback liver transplantation and this technique can reduce both anhepatic phase and venacava block complications,and minimize the hemodynamic interference with the recipients.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第11期652-654,共3页
Chinese Journal of Practical Surgery
基金
国家卫生部临床重点项目!资助研究 (No :970 40 2 30 )
